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Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial

This study examined whether baseline (3–14 days pre-surgery) levels of (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs moderate the effects of additional preoperative interventions before coronary artery bypass graft surgery on (i) depressive or (ii) anxiety symptoms and (iii) illn...

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Autores principales: Horn, Nicole, Laferton, Johannes A. C., Shedden-Mora, Meike C., Moosdorf, Rainer, Rief, Winfried, Salzmann, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9160109/
https://www.ncbi.nlm.nih.gov/pubmed/35522399
http://dx.doi.org/10.1007/s10865-022-00319-0
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author Horn, Nicole
Laferton, Johannes A. C.
Shedden-Mora, Meike C.
Moosdorf, Rainer
Rief, Winfried
Salzmann, Stefan
author_facet Horn, Nicole
Laferton, Johannes A. C.
Shedden-Mora, Meike C.
Moosdorf, Rainer
Rief, Winfried
Salzmann, Stefan
author_sort Horn, Nicole
collection PubMed
description This study examined whether baseline (3–14 days pre-surgery) levels of (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs moderate the effects of additional preoperative interventions before coronary artery bypass graft surgery on (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs 1 day before surgery, 1 week and 6 months after surgery. In the PSY-HEART trial, 115 patients were assessed. They were randomized into one of three groups: 1. receiving standard medical care only (SMC), additional psychological interventions: 2. aiming to optimize patients’ expectations (EXPECT), or 3. focusing on emotional support. Patients with a higher baseline level of depressive symptoms receiving a preoperative psychological intervention indicated lower depressive symptoms 6 months after surgery compared to SMC. EXPECT increased personal control and concern levels in patients with low baseline personal control/concern 1 day before surgery. Brief preoperative psychological interventions can improve psychological outcomes in heart surgery patients. Baseline status may moderate these effects. The study has been approved by the medical ethics committee of the Philipps University of Marburg and has been pre-registered at www.clinicaltrials.gov (NCT01407055) on August 1, 2011. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10865-022-00319-0.
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spelling pubmed-91601092022-06-03 Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial Horn, Nicole Laferton, Johannes A. C. Shedden-Mora, Meike C. Moosdorf, Rainer Rief, Winfried Salzmann, Stefan J Behav Med Article This study examined whether baseline (3–14 days pre-surgery) levels of (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs moderate the effects of additional preoperative interventions before coronary artery bypass graft surgery on (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs 1 day before surgery, 1 week and 6 months after surgery. In the PSY-HEART trial, 115 patients were assessed. They were randomized into one of three groups: 1. receiving standard medical care only (SMC), additional psychological interventions: 2. aiming to optimize patients’ expectations (EXPECT), or 3. focusing on emotional support. Patients with a higher baseline level of depressive symptoms receiving a preoperative psychological intervention indicated lower depressive symptoms 6 months after surgery compared to SMC. EXPECT increased personal control and concern levels in patients with low baseline personal control/concern 1 day before surgery. Brief preoperative psychological interventions can improve psychological outcomes in heart surgery patients. Baseline status may moderate these effects. The study has been approved by the medical ethics committee of the Philipps University of Marburg and has been pre-registered at www.clinicaltrials.gov (NCT01407055) on August 1, 2011. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10865-022-00319-0. Springer US 2022-05-06 2022 /pmc/articles/PMC9160109/ /pubmed/35522399 http://dx.doi.org/10.1007/s10865-022-00319-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visithttp://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Horn, Nicole
Laferton, Johannes A. C.
Shedden-Mora, Meike C.
Moosdorf, Rainer
Rief, Winfried
Salzmann, Stefan
Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial
title Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial
title_full Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial
title_fullStr Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial
title_full_unstemmed Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial
title_short Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial
title_sort baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled psy-heart trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9160109/
https://www.ncbi.nlm.nih.gov/pubmed/35522399
http://dx.doi.org/10.1007/s10865-022-00319-0
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